Individual provider Active NPI

Lawson Waite Gunn, DDS,

  • General Practice Dentistry
  • Narragansett, RI
National Provider Identifier
1700948429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2051 Issued in RI
Practice address
483 Boston Neck Rd
Narragansett, RI 02882-3104
Phone
(401) 789-5511
Fax
(401) 789-8865
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2051 RI Primary

Addresses

Primary practice location

483 Boston Neck Rd
Narragansett, RI 02882-3104

Mailing address

483 Boston Neck Rd
Narragansett, RI 02882-3104
Phone (401) 789-5511

Other identifiers 5

IdentifierTypeStateIssuer
0056OtherMABCMA
200-2051OtherRIDDRI
8963OtherRIBCBSRI
614485OtherRIUNITED CONCORDIA
LG28238OtherRIEDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2051RIMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700948429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 BOSTON NECK RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823104",
            "telephone_number": "401-789-5511",
            "fax_number": "401-789-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 BOSTON NECK RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823104",
            "telephone_number": "401-789-5511",
            "fax_number": "401-789-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "LAWSON",
        "middle_name": "WAITE",
        "name_prefix": "Dr.",
        "credential": "DDS,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMA",
            "identifier": "0056",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDRI",
            "identifier": "200-2051",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "8963",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "614485",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS",
            "identifier": "LG28238",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.